Individual
DR. JEREMY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DUKE EYE CENTER DUMC 3802, DURHAM, NC 27710-0001
(919) 684-3316
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(424) 328-2717
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
75371
GA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A113627
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
DR.0058675
CO
Other
Enumeration date
06/19/2007
Last updated
03/21/2023
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